HealthDay News — According to a study published in Health Affairs, there was minimal change in health spending by state from 1991 to 2014.

David Lassman, from the Centers for Medicare & Medicaid Services in Baltimore, and colleagues examined per capita spending by state of residence and per enrollee spending for Medicare, Medicaid, and private health insurance from 1991 through 2014. 

They also assessed the effects of implementation of the Affordable Care Act and the most recent economic recession and recovery on health spending. The researchers note that the lagged impact of severe recession and extended modest recovery as well as the enactment and implementation of comprehensive health reform legislation had effects on health care coverage, as well as its financing and delivery. 

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However, during these years there was almost no change in overall health care spending by state, resulting in negligible movement in the relative rankings of overall per capita health spending by state.

“Future vintages of state health expenditure data will permit further evaluation of state-level health spending experiences beyond 2014, as coverage continues to expand and economic factors continue to evolve,” the authors write.


Lassman D, et al. “Health Spending By State 1991–2014: Measuring Per Capita Spending By Payers And Programs.” Health Affairs. 2017. doi: 10.1377/hlthaff.2017.0416 [Epub ahead of print]

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